蘇喜2006-07-252018-06-292006-07-252018-06-292000-07-31http://ntur.lib.ntu.edu.tw//handle/246246/5011利用有限的資源以發揮最大的效益，一 直是所有管理者共同遵奉的圭臬。對於醫 療機構而言，在全民健保的給付無法完全 反應於成本上時，如何加強內部管理，提 昇效率，減少浪費是所有醫院遵循的目 標；醫院的醫療資源不夠充足或是沒有妥 善的利用，將造成機會成本的損失，甚至 出現失去生命等難以彌補的嚴重後果。然 而，在各種主觀的意見充斥之下，應用科 學管理技術，透過系統分析、再造工程的 理念對現況問題作縝密的評估，才能客觀 的分析問題，進而得到確實有效的改善方 法。 本研究將根據模擬理論，藉由新一代的 電腦模擬軟體，將醫療機構中某科床位的 分配進行資源配置與流程再造評估，利用 模擬技術，可以對各種欲研究的變項進行 各種向度的敏感度分析，求得各種建議方 案下最有效率的成本投入、最適當的作業 流程與資源組合，進而選擇最可行之改善 方案，並向院方行銷此改善方案。 期望透過此模式之發展，成為往後其他 醫療院所系統改造之參考模式。Since the implementation of National Health Insurance program in March 1994, medical care organizational had to face the tremendous impact it has brought. The customary operation patterns are pressed to be reviewed on order to improve the working efficiency. Since the financial burden has been mostly relieved, the health care quality is increasingly anticipated. In this highly economic activity era, efficiency means a lot. Hospitals that want to survive among the highly competitive environment got to understand the strong demand of short waiting, and efficient operation pattern. In responding to this demand, hospitals should apply system, reengineering concept and technology to explore the current problem, review the existing operation flowchart, discard unnecessary steps, merge similar operations, redesign service flowchart reallocate resource commitment, in order to render efficient and quality services to patients. The reseach is launched aimed to meet before mentioned goal by reengineering the operation flowchart of inpatient department, 2 transportation system and inventory system in the following three years respectively. Simulation technique is to be utilized to see the outcome indicators, entity waiting time, service time, resource slack time, utilization factor etc, under alternative type of resource reallocation pattern, and thus propose few feasible beneficial alternatives to hospital. This model may be expected to lead the management science methodology on hospital administration decision making.application/pdf23590 bytesapplication/pdfzh-TW國立臺灣大學公共衛生學院醫療機構管理研究所系統分析再造研究等候理論模擬理論System AnalyzingReengineeringQueuing ModelSimulation Modelreporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/5011/1/892416H002026.pdf